Individual provider Active NPI

Anna Forrest McKie, PA - C

  • Medical Physician Assistant
  • Columbia, SC
National Provider Identifier
1699925065
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1181 Issued in SC
Practice address
3600 Forest Dr Ste 400
Columbia, SC 29204-4057
Phone
(803) 779-7316
Fax
(803) 779-5823
NPI assigned
Sep 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1181 SC Primary

Addresses

Primary practice location

3600 Forest Dr Ste 400
Columbia, SC 29204-4057

Mailing address

3600 Forest Dr Ste 400
Columbia, SC 29204-4057
Phone (803) 779-7316

Other identifiers 1

IdentifierTypeStateIssuer
P00837311OtherSCRAILROAD MEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090202000231 SC Practitioner - Physician Assistant 6800950106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CSC Acquisition, LLCGroup PAC ID 2860389160, 16 clinicians

Practice addresses (Care Compare)

3600 Forest Dr
Suite 400
Columbia, SC 29204-4057
Phone 8037797316205

Merit-based Incentive Payment System (MIPS)

Final score
87.55 of 100Reported as group
Quality
90
Promoting interoperability
92
Improvement activities
40
Cost
75.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1181SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CSC Acquisition, LLC CurrentSince Aug 24, 2009 Accepting new patients
CSC Acquisition, LLC CurrentSince Aug 24, 2009 Accepting new patients

Locations

1205 Lyttleton St
Camden, SC 29020
Phone (803) 432-5783

7039 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 749-0097

3 Richland Medical Park Dr
Ste 500
Columbia, SC 29203
Phone (803) 779-7316

3600 Forest Dr
Ste 400
Columbia, SC 29204
Phone (803) 779-7316

448 Old Cherokee Rd
Lexington, SC 29072
Phone (803) 520-5800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1699925065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FOREST DR STE 400",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044057",
            "telephone_number": "803-779-7316",
            "fax_number": "803-779-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FOREST DR STE 400",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044057",
            "telephone_number": "803-779-7316",
            "fax_number": "803-779-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIE",
        "first_name": "ANNA",
        "middle_name": "FORREST",
        "name_prefix": "Ms.",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00837311",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.